耳穴贴压联合清热解毒生肌方对火毒蕴结型急性肛周脓肿引流术后疼痛控制及创面愈合的影响  

Effect of Auricular Acupressure Combined with Qingre Jiedu Shengji Prescription on Pain Control and Wound Healing after Drainage of Acute Perianal Abscess with Fire Poison Accumulation

作　　者：曹东升[1] 齐焕青 张庆东[1] 吴毅娟 CAO Dong-sheng;QI Huan-qing;ZHANG Qing-dong;WU Yi-juan(Department of Proctology,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院肛肠科,南阳473000

出　　处：《中国合理用药探索》2024年第10期92-97,共6页Chinese Journal of Rational Drug Use

基　　金：河南省医学科技攻关计划项目(LHGJ20205026)。

摘　　要：目的:探讨耳穴贴压联合清热解毒生肌方对火毒蕴结型急性肛周脓肿引流术后疼痛控制及创面愈合的影响。方法:选取2022年1月~2024年1月期间于某院接受引流术治疗的89例火毒蕴结型急性肛周脓肿患者作为研究对象,采用随机数字表法分为对照组(n=44)和观察组(n=45)。两组患者术后均接受抗感染治疗,对照组患者内服外用清热解毒生肌方,观察组患者在对照组治疗基础上给予耳穴贴压治疗。比较两组患者术后愈合指标(创面愈合时间、腐肉脱落时间、创面愈合度、术后首次排尿时间、术后首次排尿量)、创面分泌物评分、肉芽生长情况评分、疼痛情况[视觉模拟评分(VAS)]、临床疗效及并发症发生情况。结果:治疗后,观察组患者创面愈合时间、腐肉脱落时间、术后首次排尿时间均短于对照组,创面愈合度、术后首次排尿量均高于对照组(P<0.05);观察组患者术后7天、14天和21天创面分泌物评分均低于对照组(P<0.05);观察组患者术后14天和21天肉芽生长情况评分均低于对照组(P<0.05);观察组患者换药前、换药中和换药后的VAS评分均低于对照组(P<0.05);观察组患者治疗总有效率(91.11%)高于对照组(75.00%,P<0.05);观察组患者治疗期间并发症总发生率(15.56%)低于对照组(38.64%,P<0.05)。结论:耳穴贴压联合清热解毒生肌方可提高火毒蕴结型急性肛周脓肿引流术后患者的临床疗效,有效减轻患者疼痛,改善创面愈合情况,且能降低并发症的发生风险。Objective:To investigate the effect of auricular acupressure combined with Qingre Jiedu Shengji prescription on pain control and wound healing after drainage of acute perianal abscess with fire poison accumulation.Methods:A total of 89 patients with acute perianal abscess with fire poison accumulation who were treated by drainage in a hospital from January 2022 to January 2024 were selected and divided into the control group(n=44)and the observation group(n=45)by random number table method.Both groups were given anti-infective therapy after operation,the control group was treated with internal and external Qingre Jiedu Shengji prescription,and the observation group was treated with auricular acupressure in addition to the treatment given in the control group.The postoperative healing indexes(wound healing time,carrion shedding time,wound healing degree,the first urination time after operation,amount of first urination),wound secretion score,granulation growth score,pain condition[visual analogus scale(VAS)],clinical response and occurrence of complications were compared between the two groups.Results:After treatment,the wound healing time,carrion shedding time and the first urination time in the observation group were shorter than those in the control group,while the wound healing degree and amount of first urination in the observation group were higher than those in the control group(P<0.05).The scores of wound secretion 7,14 and 21 days after operation in the observation group were lower than those in the control group(P<0.05).The scores of granulation growth 14 days and 21 days after operation in the observation group were lower than those in the control group(P<0.05).The VAS scores before,during and after dressing change in the observation group were lower than those in the control group(P<0.05).The total response rate in the observation group(91.11%)was higher than that in the control group(75.00%,P<0.05).The total incidence of complications in the observation group(15.56%)was lower than that in the control

关 键 词：耳穴贴压 清热解毒生肌方 火毒蕴结型 急性肛周脓肿 引流手术 疼痛 创面愈合 

分 类 号：R657.1[医药卫生—外科学]